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Hospice Period Count

CLM_MDCR_HOSPC_PRD_CNT

THE COUNT OF THE NUMBER OF HOSPICE PERIOD TRAILERS PRESENT FOR THE BENEFICIARYS RECORD. PRIOR TO BBA A BENEFICIARY WAS ENTITLED TO A MAXIMUM OF 4 HOSPICE BENEFIT PERIODS THAT MAY BE ELECTED IN LIEU OF STANDARD PART A HOSPITAL BENEFITS. THE BBA CHANGED THE HOSPICE BENEFIT TO THE FOLLOWING: 2 INITIAL 90 DAY PERIODS FOLLOWED BY AN UNLIMITED NUMBER OF 60 DAY PERIODS (EFFECTIVE 8/5/97). [NCH] EDIT RULES : RANGE: 1 THRU 3: 1 = 1ST 90-DAY PERIOD; 2 = 2ND 90 DAY PERIOD AND 3 = 60-DAY PERIOD (3 OR GREATER PERIODS)

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath 
ExplanationOfBenefit.adjudication.where(
  category.coding.where(
    system = 'https://bluebutton.cms.gov/fhir/CodeSystem/Adjudication' and
      code = 'CLM_MDCR_HOSPC_PRD_CNT'
  ).exists()
).value
Coverage / Claim Type
  • Hospice
Source View
V2_MDCR_CLM_INSTNL
Source Column
CLM_MDCR_HOSPC_PRD_CNT
Sources
  • NCH
Profiles
  • CMS

Example 

1

Mappings

CCW
  • BENE_HOSPC_PRD_CNT

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